RESULTS OF THE MATHIEU URETHROPLASTY FOR CORRECTION OF DISTAL HYPOSPADIA

Early and late results of 132 Mathieu urethroplasties are reported. Re sponses to a standardized questionnaire of patients personal satisfact ion were integrated into the retrospective evaluation of surgical outc ome. The success rate regarding function and cosmetic result was 91.7% at the time of discharge. During the postoperative period complicatio ns occurred in 22% of the patients and required an average of 1.3 furt her operations in 19.7%. Major complications were fistulas (18.9%), me atal stenosis (4.6%) and urethral strictures (3.8%). Late results show ed that 90.8% of all patients were satisfied with the final result. De spite complications in every fifth child, the Mathieu urethroplasty pr oves to be an efficient method for correction of distal hypospadias wi thout or with only slight penile deviation. Advantages are the single- stage repair and simplicity of the procedure combined with good cosmet ic and functional late results.